Individual
MS. MARY KAY WHORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4801 VETERANS DR, BLDG 1, SAINT CLOUD, MN 56303-2015
(320) 252-1670
Mailing address
3420 W SAINT GERMAIN ST, APT 212, SAINT CLOUD, MN 56301-6501
(320) 230-0266
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-330
AL
Other
Enumeration date
09/17/2006
Last updated
07/08/2007
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